FORM 1023-EZ for CLARK CHILDREN AND FAMILY SERVICES
| Field | Data |
|---|---|
| EIN | 81-2296528 |
| Case Number | EO-2020275-000392 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CLARK CHILDREN AND FAMILY SERVICES |
| Organization’s Mailing Address | 633 ASHFORD DRIVE NE |
| City | CEDAR RAPIDS |
| State | IA |
| ZIP | 52402 |
| Accounting period End | 12 |
| Primary contact name | MONIQUE CLARK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RUTH WHITE
SECRETARY
319 EASTLAND DRIVE SE
CEDAR RAPIDS IA 52403
Officer/Director/Trustee Two
LIZ HOSKINS
TREASURER
908 ROSEDALE ROAD
CEDAR RAPIDS IA 52403
Officer/Director/Trustee Three
MELANIE JENKINS
PRESIDENT
2002 29TH STREET SW
CEDAR RAPIDS IA 52405
Officer/Director/Trustee Four
DAN JOHNSON
VICE PRESIDENT
1142 LONGFELLOW AVENUE
WATERLOO IA 50703
Officer/Director/Trustee Five
MONIQUE CLARK
EXECUTIVE DIRECTOR
633 ASHFORD DRIVE NE
CEDAR RAPIDS IA 52402
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/4/2016 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P32 - Foster Care |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MONIQUE CLARK |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 9/29/2020 |
| EIN | 81-2296528 |
| Case Number | EO-2016321-000156 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLARK CHILDREN AND FAMILY SERVICES |
| Organization’s Mailing Address | 633 ASHFORD DRIVE NE |
| City | CEDAR RAPIDS |
| State | IA |
| ZIP | 52402 |
| Accounting period End | 12 |
| Primary contact name | MONIQUE C CLARK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RUTH WHITE
SECRETARY
319 EASTLAND DRIVE SE
CEDAR RAPIDS IA 52403
Officer/Director/Trustee Two
LIZ HOSKINS
TREASURER
908 ROSEDALE ROAD
CEDAR RAPIDS IA 52403
Officer/Director/Trustee Three
MELANIE JENKINS
PRESIDENT
2002 29TH STREET NW
CEDAR RAPIDS IA 52405
Officer/Director/Trustee Four
DAN JOHNSON
VICE PRESIDENT
1142 LONGFELLOW AVENUE
WATERLOO IA 50703
Officer/Director/Trustee Five
MONIQUE CLARK
EXECUTIVE DIRECTOR
633 ASHFORD DRIVE NE
CEDAR RAPIDS IA 52402
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/4/2016 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P32 - Foster Care |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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